| NPI | 1740481464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3010) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2007025728) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: NC 8515) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 61921) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2022-06-28 |